Individual provider Active NPI

Stephanie Pasley, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1881149219
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
235816 Issued in AZ
Practice address
4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238
Phone
(602) 971-0268
Fax
(602) 971-1556
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209014685 IL
Nurse Practitioner 363L00000X 235816 AZ Primary

Addresses

Primary practice location

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238

Mailing address

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238
Phone (602) 971-0268

Other practice location 1

715 S Beeline Hwy
Payson, AZ 85541-5320
Phone (928) 468-6607

Other practice location 2

313 S Beeline Hwy
Payson, AZ 85541-4814
Phone (928) 472-7107

Other names 1

  • Stephanie Goodwin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405000473 AZ Practitioner - Nurse Practitioner 7911293204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Dermatology and Mohs Center PCGroup PAC ID 7113144510, 10 clinicians

Practice addresses (Care Compare)

313 S Beeline Hwy
Payson, AZ 85541-4814
Phone (928) 472-7107

Hospital & facility affiliations

  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
235816AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Dermatology & Mohs Center, PC CurrentSince Sep 1, 2022 Accepting new patients
Spectrum Dermatology, PLLC CurrentSince Sep 1, 2021 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Mar 1, 2020 Accepting new patients
Mark a Meyers Past Accepting new patients

Locations

2394 N Alma School Rd
Chandler, AZ 85224
Phone (480) 735-2118

5651 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (480) 889-2654

313 S Beeline Hwy
Payson, AZ 85541
Phone (928) 472-7107

715 S Beeline Hwy
Ste A
Payson, AZ 85541
Phone (928) 468-6607

715 S Beeline Hwy
Payson, AZ 85541
Phone (928) 468-6607

20950 N Tatum Blvd
Ste 250
Phoenix, AZ 85050
Phone (480) 607-0060

4045 E Bell Rd
Ste 125
Phoenix, AZ 85032
Phone (602) 493-3677

9500 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 565-1132

13640 N 99th Ave
Ste 300
Sun City, AZ 85351
Phone (623) 875-2600

14418 W Meeker Blvd
Ste 106
Sun City West, AZ 85375
Phone (623) 544-8400

Interoperability endpoints

  • Direct secure messaging: spasley@alliancederm.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1881149219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322238",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322238",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 S Beeline Hwy",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415320",
            "country_code": "US",
            "telephone_number": "928-468-6607",
            "fax_number": "928-468-6658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S Beeline Hwy",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855414814",
            "country_code": "US",
            "telephone_number": "928-472-7107",
            "fax_number": "928-472-6025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASLEY",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014685",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "235816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GOODWIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.